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Organization
ETHICUS HOSPITAL-SHREVEPORT, LLC
Active
Organization
ETHICUS HOSPITAL-SHREVEPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A. LOEPP JR. (PRESIDENT)
(318) 218-6411
Entity
Organization
Contact information
Practice address
2105 AIRLINE DR, BOSSIER CITY, LA 71111-3105
(713) 572-2222
(713) 572-2273
Mailing address
3 RIVERWAY, SUITE 1810, HOUSTON, TX 77056-1919
(713) 572-2222
(713) 572-2273
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
APPLIED FOR
LA
Other
Enumeration date
07/05/2006
Last updated
08/22/2020
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